Brian L Van Hoozen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32699 Issued in WI

Practice address

1505 Mill St
New London, WI 54961-2187

Phone

(920) 982-7900

Fax

(920) 982-7995

NPI assigned

Oct 19, 2006

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Addiction Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thedacare Medical Center - New London Hospital, New London, WI, CCN 521326

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: valleyfamilymedicine.brianvanhoozen@137722.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Van Hoozen DO SC

  • Clinic/Center
  • New London, WI
  • NPI 1851563472
  Medicare reassignment NPD Authorized official
• Mile Bluff Medical Center Inc

  dba Mile Bluff ER/UC Providers

  • Emergency Medicine Physician
  • Mauston, WI
  • NPI 1609912005
  Medicare reassignment NPD
• Valley Family Medicine S.C.

  dba Brian L Van Hoozen, D.O. S.C.

  • Family Medicine Physician
  • New London, WI
  • NPI 1144673039
  NPD (past) Authorized official
• Mile Bluff Medical Center Inc

  dba Mile Bluff Urgent Care

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thedacare Medical Center - New London, Inc.

  • Critical Access Hospital
  • Clintonville, WI
  • NPI 1144675745
  Care Compare affiliation
• Thedacare Medical Center - New London, Inc.

  • Critical Access Hospital
  • New London, WI
  • NPI 1538127220
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1821170986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549610096",
            "telephone_number": "920-982-7900",
            "fax_number": "920-982-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612187",
            "telephone_number": "920-982-7900",
            "fax_number": "920-982-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOOZEN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-09-20",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "32699",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "32699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMH ANTHEM",
            "identifier": "390848401050",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30054700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11014110",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thompsons RX Wisconsin LLC (Jernegans Pharmacy)
• Angela Topolski
• James J Tuljus, PA C
• Vanessa Lynn Uitenbroek
• Valley Family Medicine S.C. (Brian L Van Hoozen, D.O. S.C.)
• Nicole E Vandenberg, C.O.T.A
• Darci Jo Vandenheuvel, PTA
• Dorothy Ann Vrhovnik, MSW
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1471)
• Walgreen Co (Walgreens #11301)

• Family Medicine Physician in New London, WI
• Providers in New London, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.